Efficacy of epidural methylprednisolone in radicular pain

  • Adelaida Álvarez Correa Universidad Pontificia Bolivariana, Medellín, Colombia
  • Roberto Carlo Rivera Díaz Universidad CES, Instituto Colombiano del Dolor, Medellín, Colombia
  • Mario Andrés Arcila Lotero Universidad CES, Instituto Colombiano del Dolor, Medellín, Colombia
Keywords: Pain, Steroids, Anesthesia, Epidural, Analgesia, Fluoroscopy

Abstract

Introduction: Degenerative disc disease is a prevalent and disabling disease. When the conservative treatment fails to obtain pain relief, epidural steroids are an alternative frequently used worldwide.

Objectives: To evaluate the efficacy and safety of epidural methylprednisolone in patients with radicular pain.

Methodology: Descriptive longitudinal retrospective study in patients with chronic radicular pain who received fluoroscopy-guided interventional treatment, between July 2010 and December 2011 at Instituto Colombiano del Dolor (Medellín-Colombia), to determine the efficacy and safety of epidural methylprednisolone in clinical practice. Pain relief was followed using the visual analogue scale, during at least 8 weeks.

Results: 254 patients were analyzed. The mean age of the patients was 52.8 years (SD ± 15); 52.8% were men. The main diagnosis was lower-limb radicular pain (87.7%). The most frequent procedures were transforaminal lumbar injection (54.3%) and interlaminar lumbar injection (17.7%). The proportion of patients with more than 50% pain relief 50% was 85.8%. There were no differences in efficacy between the procedures. Pain improvement lasted more than 8 weeks in 55% of patients. The incidence of complications was lower than 1%.

Conclusions: When radicular pain is refractory to conservative treatment based on pharmacological and physical therapy, epidural methylprednisolone is an effective and safe method in our setting.

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How to Cite
1.
Álvarez Correa A, Rivera Díaz RC, Arcila Lotero MA. Efficacy of epidural methylprednisolone in radicular pain. Colomb. J. Anesthesiol. [Internet]. 2015Jan.1 [cited 2021Dec.5];43(1):61 -67. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/484

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Published
2015-01-01
How to Cite
1.
Álvarez Correa A, Rivera Díaz RC, Arcila Lotero MA. Efficacy of epidural methylprednisolone in radicular pain. Colomb. J. Anesthesiol. [Internet]. 2015Jan.1 [cited 2021Dec.5];43(1):61 -67. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/484
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